DR. ALYSSA S AILION (NPI# 1750905428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750905428 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA S AILION |
| Credential | PHD |
| Practice Address |
300 Longwood Ave # Fegan9 Boston MA 02115-5724 |
| Mailing Address |
5500 39th St Nw Washington DC 20015-2904 |
| Practice Telephone | 6173557970 |
| Mailing Telephone | 6788518539 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | MA | Behavioral Health & Social Service Providers | |
| N | 103T00000X | Psychologist | PSY1001555 | DC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
06039 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15245 Shady Grove Rd Ste 350, Rockville, MD 208506237 | 3017655452 |
| Street Address |
300 LONGWOOD AVE # FEGAN9 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1033524913 | Grant Loren Iverson | Clinical Neuropsychologist | Home Base Program, 101 Merrimac Street, 2nd Floor, Boston, MA 02114 | 2014-06-30 |
| 1396175410 | Daniel R. Seichepine | Clinical Neuropsychologist | 725 Albany St # 7b, Boston Medical Center, Boston, MA 02118-2526 | 2013-11-27 |
| 1235566647 | Todd M Solomon | Clinical Neuropsychologist | 72 East Concord Street, B-7800, Boston University School of Medicine, Boston, MA 02118 | 2013-09-30 |
| 1598015984 | Neuropath LLC | Clinical Neuropsychologist | 106 Queensberry St, # 18, Boston, MA 02215-4713 | 2012-09-13 |
| 1619236718 | Justin Centi | Clinical Neuropsychologist | 185 Devonshire St Ste 901b, Boston, MA 02110-1407 | 2012-05-09 |
| 1740513886 | Aparna Rao | Clinical Neuropsychologist | 75 Arlington St, Suite 500, Boston, MA 02116-3936 | 2009-09-08 |
| 1386845998 | Andrea L Piatt | Clinical Neuropsychologist | 321 Columbus Ave Ste 3, Boston, MA 02116-5168 | 2007-05-30 |
| 1417158288 | Robyn Kervick | Clinical Neuropsychologist | 160 Commonwealth Avenue, Suite U3, Boston, MA 02116 | 2007-05-30 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.